• Quality/Risk Specialist II - Full Time…

    Henry Ford Health System (Detroit, MI)
    GENERAL SUMMARY: Under minimal direction, the Quality/Risk Specialist (QRS) II supports the effective surveillance, analysis, and prevention of events which may ... injure patients, lead to malpractice claims , and cause loss to the health care system....to patients, staff and visitors, and control any associated liability . The QRS II will be involved in sentinel… more
    Henry Ford Health System (07/21/25)
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  • Specialist , Corporate Credentialing

    Molina Healthcare (MI)
    …consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is ... a high level of confidentiality for provider information. Typically assigned the more complex work; works on special projects as assigned; and serves as a "mentor"… more
    Molina Healthcare (07/19/25)
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  • Clinical Specialist , TLAC

    Terumo Medical Corporation (Caguas, PR)
    Clinical Specialist , TLAC Date: Jul 10, 2025 Req ID: 4650 Location: Caguas, PR, PR Company: Terumo Latin America Corporation Department: TLAC Sales Terumo Medical ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
    Terumo Medical Corporation (07/09/25)
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  • Experienced Patient Services Specialist I…

    Henry Ford Health System (Troy, MI)
    …legal to review bankruptcies, assisting with Coordination of Benefits, third party liability claims , etc. 5. Initiates and resolves account receivable errors ... offer a full continuum of services - from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings,… more
    Henry Ford Health System (07/24/25)
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  • Senior Insurance & Risk Specialist…

    Burns & McDonnell (Kansas City, MO)
    …+ Review external contracts and advise on insurance requirements and potential liability . + Gather and analyze required underwriting information. + Manage the ... the firm, the insurance brokers, adjusters and attorneys involved on insurance claims . + Consult with various individuals internal and external to the company… more
    Burns & McDonnell (05/26/25)
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  • Risk Management 1

    M. C. Dean (Vienna, VA)
    …Vehicle Driver evaluations, Drug program monitoring, and manage routine to moderately complex claims from the investigation of an event through resolution. ... liability /compensability, evaluating losses, managing relationship with the carrier claims adjuster, nurse case managers and stakeholders within MC Dean, Inc.… more
    M. C. Dean (07/15/25)
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  • Workplace Safety Manager

    Festival Foods (WI)
    …and plans to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist . Prepares and delivers ... utilized. + Review company policies and emerging trends within claims to determine coverage and liability for...Oversees, investigates, and approves reserves for high spend and complex claims . + Oversee investigations process related… more
    Festival Foods (07/18/25)
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  • Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    … payments. + Assures claims are paid correctly according to primacy and liability rules. + Updates internal systems correctly so that claims are paid ... is a high-impact role for a visionary leader who thrives in complex environments and is passionate about transforming healthcare through operational excellence and… more
    Corewell Health (07/18/25)
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  • Senior Director, Clinical Risk Management…

    Banner Health (Phoenix, AZ)
    …and/or professional clinical degree and experience with healthcare professional liability claims management. Additional related education and/or experience ... management, quality of care delivery issues, investigating and assessing potential liability exposures, using data analytics to identify areas for continued… more
    Banner Health (05/21/25)
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  • Assistant Insurance Fund Services Representative…

    New York State Civil Service (Endicott, NY)
    …compensability and liability , seeking guidance and expertise as needed if complex medical issues arise, and initiate proactive follow ups for all updated ... existing, or past payments being provided to check the coordination of claims , if applicable.* Provide any additional information required to assist various internal… more
    New York State Civil Service (07/22/25)
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